Individual
EDITH TRITES KROHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1708 YAKIMA AVE, SUITE 105, TACOMA, WA 98405-5307
(253) 426-4420
(253) 426-4383
Mailing address
1708 YAKIMA AVE, SUITE 105, TACOMA, WA 98405-5307
(253) 426-4420
(253) 426-4383
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60045369
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0243565
L & I
WA
01
—
0243567
L & I
WA
01
—
0243569
L & I
WA
01
—
8949783
CRIME VICTIMS
WA
05
—
9659863
—
WA
01
—
G8877706
MEDICARE
WA
01
—
G8877724
MEDICARE
WA
01
—
P00846069
RAILROAD
WA
Enumeration date
11/06/2008
Last updated
11/05/2010
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